PSYCH up2date, Inhaltsverzeichnis PSYCH up2date 2017; 11(01): 51-65DOI: 10.1055/s-0042-118429 Schizophrenien und andere psychotische Störungen Sporttherapie bei Schizophrenie Katriona Keller-Varady , Peter Falkai , Berend Malchow Artikel empfehlen Abstract Artikel einzeln kaufen Alle Artikel dieser Rubrik Patienten mit einer Schizophrenie führen oft einen ungesunden Lebensstil und bewegen sich körperlich zu wenig – mit der möglichen Folge von somatischen Komorbiditäten. Hier kann die Sporttherapie helfen – v. a. Ausdauertraining steigerte die körperliche Fitness und Lebensqualität, reduzierte die Symptomschwere und verbesserte das Kognitionsniveau. Volltext Referenzen Literatur 1 Falkai P. S3-Leitlinie Psychosoziale Therapien bei schweren psychischen Erkrankungen. Berlin: Springer; 2013 2 Malchow B, Reich-Erkelenz D, Oertel-Knochel V. et al. The effects of physical exercise in schizophrenia and affective disorders. Eur Arch Psychiatry Clin Neurosci 2013; 263: 451-467 3 Voss MW, Vivar C, Kramer AF. et al. Bridging animal and human models of exercise-induced brain plasticity. Trends Cognitive Sci 2013; 17: 525-544 4 Pereira AC, Huddleston DE, Brickman AM. et al. An in vivo correlate of exercise-induced neurogenesis in the adult dentate gyrus. Proc Natl Acad Sci USA 2007; 104: 5638-5643 5 Vivar C, van Praag H. Functional circuits of new neurons in the dentate gyrus. Frontiers Neural Circuits 2013; 7: 15 6 Saha S, Chant D, McGrath J. A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time?. Arch Gen Psychiatry 2007; 64: 1123-1131 7 Hasan A, Falkai P, Wobrock T. et al. World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for Biological Treatment of Schizophrenia. Part 1: update 2012 on the acute treatment of schizophrenia and the management of treatment resistance. World J Biol Psychiatry 2012; 13: 318-378 8 Alberti KG, Zimmet PZ. Definition, diagnosis, and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabetic Med 1998; 15: 539-553 9 Hjorth P, Davidsen AS, Kilian R. et al. A systematic review of controlled interventions to reduce overweight and obesity in people with schizophrenia. Acta Psychiatr Scand 2014; 130: 279-289 10 Hasan A, Falkai P, Wobrock T. et al. World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for biological treatment of schizophrenia. Part 2: update 2012 on the long-term treatment of schizophrenia and management of antipsychotic-induced side effects. World J Biol Psychiatry 2013; 14: 2-44 11 Leucht S, Cipriani A, Spineli L. et al. Comparative efficacy and tolerability of 15 antipsychotic drugs in schizophrenia: a multiple-treatments meta-analysis. Lancet 2013; 382: 951-962 12 Methapatara W, Srisurapanont M. Pedometer walking plus motivational interviewing program for Thai schizophrenic patients with obesity or overweight: a 12-week, randomized, controlled trial. Psychiatry Clin Neurosci 2011; 65: 374-380 13 Schnabel G, Harre H-D, Krug J. Trainingslehre – Trainingswissenschaft. Leistung, Training, Wettkampf. 2. Aufl. Aachen: Meyer & Meyer Verlag; 2011 14 Schüle K, Huber G. Grundlagen der Sport- und Bewegungstherapie. Prävention, ambulante und stationäre Rehabilitation. Köln: Deutscher Ärzte-Verlag; 2012 15 Hottenrott K, Neumann G. Trainingswissenschaft. Ein Lehrbuch in 14 Lektionen. Aachen: Meyer & Meyer Verlag; 2014 16 Hottenrott K, Neumann G. Methodik des Ausdauertrainings. Schorndorf: Verlag Karl Hofmann; 2008 17 Borg GA, Noble BJ. Perceived exertion. Exerc Sport Sci 1974; 2: 131-153 18 Weineck J. Optimales Training. Leistungsphysiologische Trainingslehre unter besonderer Berücksichtigung des Kinder- und Jugendtrainings. Balingen: Spitta-Verlag; 2003 19 Heggelund J, Kleppe KD, Morken G. et al. High aerobic intensity training and psychological states in patients with depression or schizophrenia. Frontiers in Psychiatry 2014; 5: 148 20 Abdel-Baki A, Brazzini-Poisson V, Marois F. et al. Effects of aerobic interval training on metabolic complications and cardiorespiratory fitness in young adults with psychotic disorders: a pilot study. Schizophr Res 2013; 149: 112-115 21 Schwarz S, Halle M. [Exercise training in heart failure patients]. Dtsch Med Wochenschr 2014; 139: 845-850 22 Silva BA, Cassilhas RC, Attux C. et al. A 20-week program of resistance or concurrent exercise improves symptoms of schizophrenia: results of a blind, randomized controlled trial. Rev Bras Psiquiatr 2015; 37: 271-279 23 Leone M, Lalande D, Theriault L. et al. Impact of an exercise program on the physiologic, biologic and psychologic profiles in patients with schizophrenia. Schizophr Res 2015; 164: 270-272 24 Kim HJ, Song BK, So B. et al. Increase of circulating BDNF levels and its relation to improvement of physical fitness following 12 weeks of combined exercise in chronic patients with schizophrenia: a pilot study. Psychiatry Res 2014; 220: 792-796 25 Firth J, Stubbs B, Rosenbaum S. et al. Aerobic exercise improves cognitive functioning in people with schizophrenia: a systematic review and meta-analysis. Schizophr Bull 2016; 42 26 Dauwan M, Begemann MJ, Heringa SM. et al. Exercise improves clinical symptoms, quality of life, global functioning, and depression in schizophrenia: a systematic review and meta-analysis. Schizophr Bull 2016; 42: 588-599 27 Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987; 13: 261-276 28 Overall JE, Gorham DR. The brief psychiatric rating scale. Psychol Rep 1962; 10: 799-812 29 Andreasen NC. Scale for the Assessment of Positive Symptoms (SAPS). Iowa City: 1984 30 Andreasen NC. The Scale for the Assessment of Negative Symptoms (SANS): conceptual and theoretical foundations. Br J Psychiatry Supplement 1989; 7: 49-58 31 Malchow B, Keller K, Hasan A. et al. Effects of endurance training combined with cognitive remediation on everyday functioning, symptoms, and cognition in multiepisode schizophrenia patients. Schizophr Bull 2015; 41: 847-858 32 De Hert M, Correll CU, Bobes J. et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry 2011; 10: 52-77 33 Vancampfort D, Sweers K, Probst M. et al. Association of the metabolic syndrome with physical activity performance in patients with schizophrenia. Diabetes Metab 2011; 37: 318-323 34 Pedersen LR, Olsen RH, Jurs A. et al. A randomized trial comparing the effect of weight loss and exercise training on insulin sensitivity and glucose metabolism in coronary artery disease. Metabolism: Clin and Experimental 2015; 64: 1298-1307 35 Firth J, Cotter J, Elliott R. et al. A systematic review and meta-analysis of exercise interventions in schizophrenia patients. Psychol Med 2015; 45: 1343-1361 36 Duraiswamy G, Thirthalli J, Nagendra HR. et al. Yoga therapy as an add-on treatment in the management of patients with schizophrenia – a randomized controlled trial. Acta Psychiatr Scand 2007; 116: 226-232 37 Varambally S, Gangadhar BN, Thirthalli J. et al. Therapeutic efficacy of add-on yogasana intervention in stabilized outpatient schizophrenia: Randomized controlled comparison with exercise and waitlist. Indian J Psychiatry 2012; 54: 227-232 38 Behere RV, Arasappa R, Jagannathan A. et al. Effect of yoga therapy on facial emotion recognition deficits, symptoms and functioning in patients with schizophrenia. Acta Psychiatr Scand 2011; 123: 147-153 39 Lin J, Chan SK, Lee EH. et al. Aerobic exercise and yoga improve neurocognitive function in women with early psychosis. NPJ Schizophr 2015; 1: 15047 40 Vancampfort D, Vansteelandt K, Scheewe T. et al. Yoga in schizophrenia: a systematic review of randomised controlled trials. Acta Psychiatr Scand 2012; 126: 12-20 41 Broderick J, Knowles A, Chadwick J. et al. Yoga versus standard care for schizophrenia. Cochrane Database Syst Rev. 2015; CD010554 42 Hasnain M, Vieweg WV. Do we truly appreciate how difficult it is for patients with schizophrenia to adapt a healthy lifestyle?. Acta Psychiatr Scand 2011; 123: 409-410 43 Soundy A, Freeman P, Stubbs B. et al. The value of social support to encourage people with schizophrenia to engage in physical activity: an international insight from specialist mental health physiotherapists. J Ment Health 2014; 23: 256-260 44 Vancampfort D, Stubbs B, Venigalla SK. et al. Adopting and maintaining physical activity behaviours in people with severe mental illness: The importance of autonomous motivation. Prev Med 2015; 81: 216-220 45 Bernard P, Romain AJ, Vancampfort D. et al. Six minutes walk test for individuals with schizophrenia. Disability Rehab 2015; 37: 921-927 46 Keller-Varady K, Hasan A, Schneider-Axmann T. et al. Endurance training in patients with schizophrenia and healthy controls: differences and similarities. Eur Arch Psychiatry Clin Neurosci 2016; 266: 461-473 47 Marzolini S, Jensen B, Melville P. Feasibility and effects of a group-based resistance and aerobic exercise program for individuals with severe schizophrenia: A multidisciplinary approach. Mental Health and Physical Activity 2009; 2: 29-36 48 Dodd KJ, Duffy S, Stewart JA. et al. A small group aerobic exercise programme that reduces body weight is feasible in adults with severe chronic schizophrenia: a pilot study. Disability Rehab 2011; 33: 1222-1229 49 Bredin SS, Warburton DE, Lang DJ. The health benefits and challenges of exercise training in persons living with schizophrenia: a pilot study. Brain Sci 2013; 3: 821-848 50 Rotrosen J, Wolkin A. Phospholipid and prostaglandin hipotheses of schizophrenia. In: Meltzer HY. ed. Psychopharmacology: the third generation of Progress. New York: Raven Press; 1987: 759-764